ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is caring for a 14-year-old child with appendicitis who has a pain rating of 8 on a scale of 1 to 10.
Correct Answer: C
Rationale: The correct answer is C, "Notify the primary care provider." This is because a pain rating of 8 in a child with appendicitis indicates severe pain that may require immediate medical intervention. The primary care provider should be informed promptly to assess the situation and determine the appropriate course of action, which may include pain management or surgical intervention. Taking vital signs (choice
B) and auscultating bowel sounds (choice
D) are important assessments but do not address the urgency of the situation. Continuing with the pain assessment (choice
A) may delay necessary interventions.
Question 2 of 5
A nurse is monitoring a 9-year-old child on the first postoperative day following abdominal surgery.
Correct Answer: B
Rationale: The correct answer is B: "FACES rating scale." This tool uses facial expressions to assess pain in children, making it suitable for a 9-year-old who may find it challenging to express pain verbally. The other choices are not as appropriate for this age group postoperatively: A is not a recognized pain assessment tool, C and D may be too abstract for a child, and E-G are missing options.
Question 3 of 5
A nurse is reinforcing teaching to a group of parents about preventing accidental poisoning in preschoolers.
Correct Answer: C
Rationale: The correct answer is C. Keeping labels on containers of toxic substances is crucial as it provides important information about the contents and hazards. Removing labels can lead to confusion and accidental ingestion. Syrup of ipecac (choice
A) is no longer recommended for poisoning treatment. Teaching children to eat cooked plants (choice
B) does not address the issue of accidental poisoning. Placing medications above the sink (choice
D) may still be accessible to preschoolers.
Question 4 of 5
A nurse is caring for a 4-month-old infant with thrush (candidiasis) who is breastfed.
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale: Nystatin is an antifungal medication commonly used to treat thrush in infants. It is safe for infants and effective against Candida. The treatment should be continued for 2 to 3 days after the lesions disappear to ensure complete eradication of the infection. Discontinuing the medication prematurely can lead to a recurrence of thrush.
Summary of other choices:
B: Switching to a soy-based formula is unnecessary and does not address the thrush infection directly.
C: Discontinuing breastfeeding is not necessary and can disrupt the infant's feeding routine.
D: Scraping off the white patches can cause trauma to the oral mucosa and should be avoided.
Question 5 of 5
A nurse is caring for an adolescent with inadequate weight gain.
Correct Answer: C
Rationale: The correct answer is C: "Identify food preferences high in calcium and protein." Inadequate weight gain in adolescents can be due to lack of essential nutrients like calcium and protein for growth and development. Calcium is crucial for bone health, while protein is essential for muscle development. Both are important for overall growth.
Choices A and D focus on carbohydrates and calories, which are important but not the primary nutrients needed for weight gain in this scenario.
Choice B suggests high intake of saturated and unsaturated fats, which can be detrimental to overall health if consumed in excess.
Therefore, identifying food preferences high in calcium and protein is the most appropriate choice to address inadequate weight gain in the adolescent.